Provider Demographics
NPI:1912103359
Name:FISHER, AMY JO (RN)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:JO
Last Name:FISHER
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:150 TAYLOR STATION RD
Mailing Address - Street 2:SUITE 360
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-4440
Mailing Address - Country:US
Mailing Address - Phone:614-546-3936
Mailing Address - Fax:614-546-3918
Practice Address - Street 1:150 TAYLOR STATION RD
Practice Address - Street 2:SUITE 360
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-4440
Practice Address - Country:US
Practice Address - Phone:614-546-3936
Practice Address - Fax:614-546-3918
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2013-12-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNRN0000156343163WP0200X
OH35700163W00000X
NC2453163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP0200XNursing Service ProvidersRegistered NursePediatrics